Frequently
Asked
Questions

Pelvic floor therapy is focused on evaluating and treating conditions impacting the bowel, bladder, and sexual function. The pelvic floor is a sling of muscles found in the base of your pelvis supporting your pelvic organs. External hands on techniques, internal techniques (not mandatory), and exercises and education tailored to you and your plan of care.

At Imagine Pelvic Health, we offer personalized pelvic floor therapy that meets you where you are — literally. Visit us in our York or Hanover offices, or let us come to you with mobile sessions designed around your space and needs.

You’ll always work 1:1 with a licensed, highly trained occupational therapist — no rotating providers, no repeating your story. Our care is consistent, trauma-informed, and tailored to your goals.

Our team includes:

• Leanne Markey, MS, OTR/L – Founder and lead therapist in York, Hanover, and via mobile.

• Julie Tarlow, MS, OTR/L – Treats in Hanover on Wednesdays.

• Ansley Utter, OTR/L (starting July 2025) – Treats in York on Mondays and Wednesdays.

We’re here to help you feel seen, supported, and confident in your body again — no matter your stage of life. Inclusive, expert care for real-life pelvic health issues.

Pelvic floor occupational therapy and physical therapy often overlap — both require advanced, post-professional training in pelvic health. The difference lies in the lens we use.

At Imagine Pelvic Health, our occupational therapists are trained not only in anatomy and movement, but also in psychology, behavior, trauma, and daily life patterns like habits, routines, roles, and environment. This allows us to treat both the physical and emotional layers of pelvic floor dysfunction — not just the muscles, but how those issues impact your daily life and identity.

Leanne and our team bring a trauma-informed, whole-person approach to every session. We don’t just work on the pelvic floor — we help you feel safe, empowered, and truly supported.

As a licensed and registered occupational therapist in York, PA, Leanne has training in psychology, behavioral health, environmental analysis, activity analysis of habits, routines and roles, anatomy and physiology, kinesiology, and sexuality. This enables her to treat both the physical and the emotional or mental aspects of pelvic floor dysfunction. Leanne is a Certified Clinical Trauma Specialist (CCTS-I) and uses trauma-informed care throughout her practice.

We will talk extensively about your life, including your social and medical history, your daily habits, routines, activities and roles, your reason for coming to pelvic floor therapy, and your goals. We will then often transition to a movement assessment to evaluate how your body is moving. When we are finished with the movement assessment, we will have another chat about your goals and how your body’s current functioning is connected to them. We will collaborate to create a plan of care and schedule your treatment sessions! Evaluations typically last between 60 and 90 minutes.

We believe that every pregnant parent-to-be should see a pelvic floor therapist. Pelvic floor therapists can help you learn about your pelvic floor and its role in your pregnancy, birth, and postpartum period. Pelvic health occupational therapists (OT) can help to decrease the risk and severity of perineal tearing during childbirth, help to maximize your mobility and strength, enhance your body mechanics for the demands of pregnancy, birth, and postpartum, and educate on optimal breathing techniques, patterns and body position for the activities of parenthood.

Absolutely! We use preventative and rehabilitative models and would be happy to help you meet your goals!

Absolutely! Pelvic health issues don’t discriminate, and neither do we. We treat men for a variety of pelvic health concerns, including pelvic pain, urinary incontinence, erectile dysfunction, post-prostate surgery recovery, and more.

We believe everyone can benefit from consulting with a pelvic floor therapist — whether you’re navigating symptoms or just want to be proactive about your pelvic health.

At Imagine Pelvic Health, we work from both preventive and rehabilitative models of care. That means we’re here to help you stay ahead of issues and support you in recovering from them. Our approach is personalized to your goals, lifestyle, and stage of life.

If at any point we feel that a different or higher level of care is needed, we’ll refer you to a trusted provider who specializes in that area. Your well-being always comes first — even if that means pointing you to the right resource outside our practice.

Yes. Pennsylvania is not a direct access state for occupational therapy services. We can accept signed referrals from the following:

• family physician

• primary care provider

• OBGYN

• nurse practitioner

• or a certified nurse midwife (CNM).

Please ensure that the referral is for “pelvic floor OT” as we cannot accept referrals for physical therapy or pelvic floor PT.

Scripts can be provided for you to give to your provider to sign.

We are an out-of-network provider. Most insurance companies are now calling the shots regarding what care you need or deserve. This can result in the insurance company taking away the provider’s ability to decide what care you need. By deciding to be an out-of-network provider, we are able to collaborate with YOU (not your insurance company) to create the best plan of care for your goals. At Imagine Pelvic Health, you will always know in advance how much your visit will be, no surprise bills or charges. Out-of-network services often end up being cheaper than insurance-based services!

Upon request, we can provide a receipt of services for you to independently submit to your insurance for reimbursement or application towards your deductible. This is often called a superbill. Due to Medicare regulations, we are not able to provide care to those who have Medicare, however we are happy to refer you to another local pelvic floor therapist who can.